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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 102 (1995), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 102 (1995), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, U.K. and Cambridge, USA : Blackwell Science Ltd
    Histopathology 35 (1999), S. 0 
    ISSN: 1365-2559
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK; Malden , USA : Munksgaard International Publishers
    Journal of cutaneous pathology 31 (2004), S. 0 
    ISSN: 1600-0560
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background:  In three cases of chronic scrotal lymphedema, histological and immunohistochemical changes were observed that were strikingly similar to an exceedingly rare lesion reported previously under the name of acquired smooth-muscle hamartoma (ASMH) of the scrotum. The clinical context indicated that the cases were reactive rather than hamartomatous in nature.Materials and methods:  The histological and immunohistochemical findings of the three cases were compared to macroscopically normal scrotal specimens obtained during sex reassignment surgery in seven male-to-female transsexuals.Results:  Compared to the seven controls, the three cases of chronic scrotal edema revealed a marked increase of dartos smooth-muscle tissue and of connective tissue of the scrotal skin and underlying soft tissues. Still, even the normal amount of scrotal smooth-muscle tissue may easily be misinterpreted as smooth-muscle hyperplasia.Conclusions:  Chronic scrotal lymphedema may induce hyperplasia of the dartos muscle, resulting in a histological appearance previously described as ASMH. This indicates that ASMH may not always represent a later onset of abnormality similar to congenital smooth-muscle hamartoma but, rather, may constitute a histological simulator.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 109 (1990), S. 179-180 
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary. Unlike dislocations of the distal or proximal interphalangeal joints, the simultaneous dislocation in a single finger of both seems to be a rare occurrence. Reduction and checking of the collateral ligament, extensor tendon, and volar plate, followed by 3 weeks of splinting in the intrinsic plus position seems to be the treatment of choice.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 120 (2000), S. 592-593 
    ISSN: 1434-3916
    Keywords: Keywords Dislocation ; Fractures ; Hand injury ; Os metacarpale
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Fractures of the base of the metacarpals are usually treated conservatively. The intra-articular fracture of the base of the first metacarpal (‘Bennett fracture’) is an exception to this rule because inadequate repositioning and fixation of the dislocated radial fragment lead to permanent deformity of the joint and subsequent degenerative joint disease. The dislocated intra-articular fracture of the base of the fifth metacarpal is similar to a Bennett fracture in many aspects. Repositioning of this ‘mirrored’ Bennett fracture cannot be guaranteed by a plaster cast. Inadequate repositioning will lead to pain, reduced strength and early degenerative joint disease. We present six patients with dislocated intra-articular fractures of the base of the fifth metacarpal to illustrate the necessity of surgical reduction and fixation.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 113 (1994), S. 327-329 
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In the period 1969–1991, 46 extensor indicis proprius tendon transfers were performed for functional loss of extensor pollicis longus. The long-term function of the thumb was reviewed in 22 patients with an average follow-up of 7 years. Based on Geldmacher's evaluation scheme for assessment of the results of extensor tendon reconstruction, we report 5 excellent (23%), 4 good (18%), 12 satisfactory (55%) and 1 poor (4%) result. The mean loss of pinch strength was 8% compared with the contralateral, non-operated thumb. Subjectively, the majority of the patients (86%) described no limitations in their daily life activities. It is recommended that the transfer be tight enough to give full thumb extension and that the hand be immobilized with the thumb in this position for 4 weeks.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    European journal of plastic surgery 20 (1997), S. 71-76 
    ISSN: 1435-0130
    Keywords: Contracture ; Scar ; Z-plasty ; Flaps
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract For the release of congenital or posttraumatic webs a variety of local skin flap techniques have been described. Confusion exists on how much lengthening may be obtained by each of these techniques, as well as on how much lateral slack is needed for the flaps to be shifted. These techniques and the results they provide are reviewed, calculated, and visualized by diagrams. It is concluded that the Z-plasty and its modifications lead to superior lengthening-to-narrowing ratios. Combined YV-plasties have their advantage in that resection of scarred skin will be obtained. Position, extent and orientation of the scar or web will generally indicate which technique is to be used in each individual case.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    European journal of plastic surgery 23 (2000), S. 185-187 
    ISSN: 1435-0130
    Keywords: Key words Congestion ; Microsurgery ; Exsanguination ; Leeches ; Heparin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  An important and broad area of plastic surgery entails the cover of defects by pedicled or free flaps and the revascularisation of amputated parts of the body. Failure of perfusion in flaps and replants, due to venous congestion, presents a problem even to the most experienced surgeon. Many bleeding techniques have been used to relieve venous congestion after replantation and transplantation. The best known bleeding technique is probably the use of the medicinal leech. However, the use of leeches may present problems such as infection and significant blood loss. Instead, we advocate the use of heparin soaked gauzes on an intentionally de-epithelialized part of the congested flap. Over the last 12 months, we successfully applied this method in five cases. A full report on one of these cases is provided.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1435-0130
    Keywords: Key words Hand surgery ; Radial collateral ligament ; Metacarpophalangeal joint ; Thumb ; Bone anchor
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Stability of the first metacarpophalangeal joint is important for daily activities. Rupture of the radial collateral ligament of the first metacarpophalangeal joint (RCL) is less common than rupture of the ulnar collateral ligament, but serious ruptures of the radial ligament are as debilitating as those of the ulnar ligament. Consistent guidelines for treatment of complete RCL rupture have not yet been established. We recommend 4 weeks of immobilization by two K-wires, followed by extensive hand therapy, as primary treatment of complete RCL rupture. As late treatment of complete RCL rupture, we recommend surgical repair using a bone anchor, 4 weeks of immobilization, and subsequent hand therapy. Two patients with a complete RCL rupture are presented. One was treated early and the other received treatment 2 months after injury. These two cases illustrate the methods of early and late treatment.
    Type of Medium: Electronic Resource
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